Gold, golden identity
Thomas Z Kelly
3 source records from 1 feed.
MBR-027083Verified3 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameCLM
- Thomas
- Middle nameCLM
- Z
- Last nameCLM
- Kelly
- Date of birthCLM
- 1988-06-15
- GenderCLM
- M
- Member IDCLM
- UHC-56097-83
- SSNCLM
- •••-••-2132
- PhoneCLM
- 8075994502
- Email—
- —
- AddressCLM
- 4316 Main St
- CityCLM
- Los Angeles
- StateCLM
- CA
- ZIPCLM
- 90063
- GroupCLM
- GRP-3939
- Plan—
- —
Min confidence
1.00
Sources
CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb
Identity graph
Source records linked to this identity and the confidence of each link
Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link
Linked source records
Silver values for each record in the cluster, and how it was attached
| Record | Source | Received | Name | DOB | Member ID | Phone | Address | Method | Confidence | Rule |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-408051 | CLM | 2026-04-21 | Thomas Kellyflagged | 1988-06-15 | — | — | 4316 Main St, Los Angeles, CA | Scored | 1.00 | — |
| CLM-408052 | CLM | 2026-05-24 | Thomas Kellyflagged | 1988-06-15 | UHC-56097-83 | — | 4316 Main St, Los Angeles, CA | Scored | 1.00 | — |
| CLM-408053 | CLM | 2026-06-12 | Thomas Kellyflagged | 1988-06-15 | — | 8075994502 | 4316 Main St, Los Angeles, CA | Scored | 1.00 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-408051CLMCLM-408052CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
▶CLM-408051CLMCLM-408053 CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
▶CLM-408052CLMCLM-408053 CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-408053 → UHC-56097-83 (Thomas Kelly)ACT-003888, Claims processor
- Orphan claim re-pointedExecutedCLM-408051 → UHC-56097-83 (Thomas Kelly)ACT-010189, Claims processor
- Care coordination outreachProposedThomas Kelly: 3 claims, no attributed providerACT-019358, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automatically243f022392scoring_agent, CLM-408053, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408051, policy version 1
- 2026-10-22 12:43:54Record linked automatically4c8f5a90c0scoring_agent, CLM-408052, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408051, policy version 1
- 2026-10-22 12:43:54Record linked automatically3bd5a06befscoring_agent, CLM-408051, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408052, policy version 1
- 2026-10-19 19:54:38Record linked automatically549d22d18fscoring_agent, CLM-408053, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408051, policy version 1
- 2026-10-19 19:54:38Record linked automatically09488316cfscoring_agent, CLM-408052, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408051, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyef32a03f8ascoring_agent, CLM-408051, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408052, policy version 1
- 2026-10-19 19:52:09Record linked automatically4d5557e4e8scoring_agent, CLM-408053, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408051, policy version 1
- 2026-10-19 19:52:09Record linked automatically03b029ab2cscoring_agent, CLM-408052, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408051, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyc285f93dfdscoring_agent, CLM-408051, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408052, policy version 1
- 2026-10-19 19:45:42Record linked automatically095bef6102scoring_agent, CLM-408053, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408051, policy version 1
- 2026-10-19 19:45:42Record linked automatically58a976deeescoring_agent, CLM-408052, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408051, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyfaffb32dabscoring_agent, CLM-408051, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408052, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyccb97f53bascoring_agent, CLM-408053, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408051, policy version 1
- 2026-10-19 19:32:31Record linked automatically8fca87059dscoring_agent, CLM-408052, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408051, policy version 1
- 2026-10-19 19:32:31Record linked automatically43aecbdfa0scoring_agent, CLM-408051, identity id MBR-027083, confidence 1, method probabilistic, matched record CLM-408052, policy version 1
- 2026-10-19 19:31:28Record linked automatically06f7dcdf7fmatching_agent, CLM-408052, identity id MBR-036328, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-110562
- 2026-10-19 19:31:28Record linked automatically45290b33fdmatching_agent, CLM-408053, identity id MBR-019110, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110563
- 2026-10-19 19:31:28Record linked automatically366d9d4407matching_agent, CLM-408051, identity id MBR-005334, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110555
Claims for this member
Claims attached through the identity graph; holds follow open steward cases automatically
| Claim | Service | Provider | Procedures | Billed | Plan paid | Rules | Status |
|---|---|---|---|---|---|---|---|
| CLM-2026-009800 | 2026-05-02 | Evergreen Medical Group in network | 99213, 99214 | $471.00 | $267.02 | Approved | Approved |
| CLM-2026-019624 | 2026-05-14 | Meadow Bone and Joint Center in network | 20610 | $240.00 | — | Needs review | Needs review |
| CLM-2026-019623 | 2026-05-14 | Meadow Bone and Joint Center in network | 20610 | $240.00 | $88.80 | Approved | Approved |
| CLM-2026-033675 | 2026-03-20 | Riverside Primary Care Associates in network | 99213 | $186.00 | $90.32 | Approved | Approved |